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Individual
LALY JANNETTE RODRIGUEZ
Active
Individual
LALY JANNETTE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
507780
NC
101YM0800X
Mental Health Counselor
10595
NC
101YM0800X
Mental Health Counselor
Primary
6428
SC
Other
Enumeration date
11/03/2010
Last updated
02/23/2017
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